scholarly journals Clinical Profile and Out Come of Pregnancies with NRFHR in Labor at Three Teaching Hospitals, Addis Ababa, Ethiopia

2018 ◽  
Author(s):  
Eyasu Mesfin Kassa
Keyword(s):  
Cesarean Section ◽  
Addis Ababa ◽  
Mode Of Delivery ◽  
Fetal Monitoring ◽  
Cross Sectional Study ◽  
Study Data ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Fetal Heart Rate Monitoring ◽  
Labor Ward

ABSTRACTBackground: Intrapartum fetal heart rate monitoring with intermittent auscultation using fetoscope is still the method in use in Ethiopia and other developing countries. The purpose of this study was to evaluate the prevalence of NRFHR using intermittent auscultation and related operative intervention rates, perinatal out comes and factors associated.Methodology: This is a cross-sectional study. Data was collected using pre-tested questionnaire June-September, 2005 at 3 teaching hospitals in Addis Ababa, Ethiopia. All laboring women with alive fetus at admission to the labor ward and developed NRFHR while followed with intermittent auscultation were included. Result: There were 257 deliveries with NRFHR out of a total of 1379 deliveries during the study period. Prevalence of NRFHR in labor was 18.6% (257/1379). Bradycardia was the commonest FHR abnormality (65%). Cesarean section was the mode of delivery in 43% of cases with NRFHR and cesarean section rate for NRFHR was 7.5%. The positive predictive value of intermittent auscultation for low 1st and 5th minutes APGAR scores were 38.9% & 13.2% respectively. Low apgar score (LAS) rate was higher in those with no ANC follow-up (37.5% Vs 8.9%), address outside Addis Ababa (27.5% Vs 10.6%), referred in labor from other hospitals Vs health centers (23.8% Vs 8.9%), thickly meconium stained liquor Vs clear liquor (38.1% Vs 3.0%) and decision-delivery interval in cesarean section of >30 mins (18.6% Vs 3.8% ).Conclusions & recommendations: The prevalence of NRFHR and cesarean delivery rate for NRFHR are high compared to previous similar studies done locally and in other countries. The quality of intrapartum fetal monitoring needs to be improved and other supplementary tests or monitoring techniques, like selective use of EFM should be considered.

scholarly journals Knowledge and Practices of Post Cesarean Section Mothers Towards Self-Care After Delivery at Mbarara Regional Referral Hospital.

2021 ◽  
Author(s):  
◽  
Solomon Atuhaire
Keyword(s):  
Cesarean Section ◽  
Self Care ◽  
Cross Sectional Study ◽  
Study Data ◽  
Referral Hospital ◽  
Postpartum Woman ◽  
Postpartum Women ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Regional Referral Hospital

ABSTRACT Background: It is recommended to all mothers to undergo post-cesarean section self-care after delivery up to six weeks. However, many mothers return to Mbarara Regional Referral Hospital as a result of getting some complications related to cesarean section. The reasons why these mothers develop these complications are not clear and possible other practices performed by delivered mothers to solve their post-delivery challenges are not yet documented. Methods: The design of this study was a descriptive cross-sectional study design and a semi-structured questionnaire was used to collect quantitative data from the participants. Data were collected from 150 mothers admitted to the Maternity ward of Mbarara Regional Referral Hospital who formed the inclusion criteria and accepted to participate in the study. Data was captured using Microsoft excel and analyzed using Statistical Package for social sciences (SPSS). Results: The response rate in this study was 100%. The knowledge of post-cesarean section self-care among postpartum women at MRRH in Mbarara was poor as the majority of the participants 90(60%) reported to have never heard about Post Cesarean self-care while only 60 (40%) reported having ever heard about Post Cesarean self-care and no postpartum woman was fully aware of all the aspects of PCS and only 26% could talk of more than 2 aspects of the PCS. The findings of the study also revealed that 22% (33) of the postpartum women don't perform PCS at all. This shows a low practice of PCS among postpartum women. Conclusion and recommendations: Generally, in this study, the knowledge of post-cesarean section self-care among postpartum women at MRRH in Mbarara was poor, suggesting that these postpartum women are unaware of the value of this personal health promotion tool.

scholarly journals Formula feeding practice and associated factors among mothers with infants 0–6 months of age in Addis Ababa, Ethiopia: a community-based cross-sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Alemnesh Abebe Taye ◽  
Wondwosen Asegidew ◽  
Mitku Mammo Taderegew ◽  
Yonas Girma Bizuwork ◽  
Betregiorgis Zegeye
Keyword(s):  
Cesarean Section ◽  
Associated Factors ◽  
Addis Ababa ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Formula Feeding ◽  
Feeding Practice ◽  
Community Based ◽  
Cross Sectional ◽  
Initiation Of Breastfeeding

Abstract Background Lack of exclusive breastfeeding during the first half-year of life is an important risk factor for childhood morbidity and mortality. Despite this, less than 40% of infants below 6 months are exclusively breastfed worldwide. This is because breastfeeding is declining and being replaced by formula feeding. Nowaday, formula feeding has become a more common practice in urban communities of developing countries. However, relatively little information is available regarding formula feeding practice and its associated factors in Ethiopia, particularly in Addis Ababa. Hence, this study was aimed at assessing the prevalence of formula feeding practice and its associated factors among mothers of an infant aged 0–6 months in Addis Ababa, Ethiopia. Methods A community-based cross-sectional study was conducted from April-1 to May 30/2020 among 494 mothers with infants 0–6 months of age. Data were collected using a pre-tested structured questionnaire. Data were entered and cleaned by using Epi data version 3.1 and analysed by SPSS software version 25. Then data were processed by using descriptive analysis, including frequency distribution, and summary measures. The degree of association was assessed using binary logistic regression analysis. P-value < 0.05 was considered statistically significant. Result The prevalence of formula feeding and pre-lacteal feeding practice was 46.2 and 34.4%, respectively. Educational status with a diploma and above (AOR = 3.09, 95%CI: 1.56–6.14), delivery by cesarean section (AOR = 6.13, 95%CI: 4.01–9.37), pre-lacteal feeding practice (AOR = 7.61, 95%CI: 4.11–11.06), and delayed initiation of breastfeeding (after 1 h to 1 day (AOR = 3.43, 95% CI: 1.59–7.40), after 1 day to 3 days (AOR = 3.71, 95% CI: 1.51–9.41), and after 3 days (AOR = 5.41, 95% CI: 2.15–13.60)) were significantly associated with formula feeding practice. Conclusions Nearly half of the participants were practiced formula-feeding for their infant. Educational status of mothers, the timing of initiation of breastfeeding, delivery by cesarean section, and pre-lacteal feeding practice were significantly associated with formula feeding practice. Therefore, early initiation of breastfeeding, educating mothers about the risks associated with pre-lacteal feeding, and supporting mothers who gave birth by cesarean section for exclusive breastfeeding should be encouraged at the community and institutional levels.

scholarly journals Fetal malposition and malpresentation: Mode of delivery and perinatal outcomes at Maternity Teaching Hospital in Erbil city

2020 ◽  
Vol 24 (3) ◽  
pp. 367-375
Author(s):  
Shahen Kak Hussein ◽  
Shahla Alalaf
Keyword(s):  
Cesarean Section ◽  
Teaching Hospital ◽  
Neonatal Intensive Care ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Breech Presentation ◽  
Neonatal Morbidity ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Neonatal Deaths

Background and objective: Delivering a malpositioned and malpresenting fetus remains uncertainty, despite advances in obstetric practice. This study aimed to determine the mode of delivery and neonatal outcome in cases of fetal malposition and malpresentation. Methods: A cross-sectional study of women delivering malpositioned and malpresenting fetuses was conducted at Maternity Teaching Hospital, Erbil city, Kurdistan Region, Iraq, from the 1st of June, to the 30th of November, 2018. Three hundred women and their newborns were followed for seven days of life. Results: The total rate of malposition and malpresentation was 4.8%. Most women (87.3%) delivered by cesarean section, 25% of the neonates were admitted to the neonatal intensive care unit, where 69.3% of these infants stayed for seven days. There were three early neonatal deaths (1.0%), all of them were in occipito-posterior, or occipito-transverse position and were delivered abdominally. Among occipito-posterior and occipito-transverse deliveries, 2.2% ended with the death of the fetus (P = 0.360). An Apgar score of 7 was recorded after 5 minutes for 97.7% of the infants. Around 11% of the women had postpartum hemorrhage. Conclusion: Fetal malpresentation and malposition are not uncommon during labor, and most cases are delivered by cesarean section. Neonatal morbidity and mortality are dependent on the type of presentation and the mode of delivery. Keywords: Malposition; Malpresentation; Perinatal outcome; Breech presentation.

scholarly journals The Rate of Oral Lesions in Infants and Neonates Attend Maternity and Pediatric Teaching Hospital in Sulaymaniyah City

2021 ◽  
Vol 21 (1) ◽  
pp. 20-27
Author(s):  
Shaida Muhammed Ali Hassan ◽  
◽  
Balkess Taha Garib
Keyword(s):  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Oral Lesions ◽  
Cross Sectional ◽  
Female Ratio ◽  
Oral Mucosal Lesion ◽  
Oral Mucosal Lesions ◽  
Male Female Ratio ◽  
Mucosal Lesions

Background: The prevalence of oral mucosal lesions in infants and neonates is still a matter of debate. Objective: To find the frequency of oral mucosal lesions in children from Sulaymaniyah city. Patients and Methods: A cross-sectional study was performed in Maternity and Pediatrics Teaching Hospitals in Sulaymaniyah city. Twohundred children aged from birth to two years old were randomly selected. Demographic features, mode of delivery, pattern of feeding, and type and site of oral mucosal lesions, were recorded. Results: Male: female ratio was 1.06:1, and 64% were delivered by cesarean section. Significant differences were present between breastfeeding with the mode of delivery and age of the infants. Oral mucosal lesions were observed in 64.5% of children at 141 sites. 30% of lesions are located at median palatine raphe. The diagnosis of 30% of oral mucosal lesions was Epstein pearls, and 16% were Bohn’s nodule. The oral mucosal lesions were more frequently seen in children within the first week. Conclusion: About three-quarters of children was afflicted with oral mucosal lesions. Besides, Epstein pearls and Bohn’s nodule were among the most frequent diagnosis. Further, ages of a week or less afflicted more with congenital oral mucosal lesions. Keywords: Oral mucosal lesion, Oral developmental cyst, Infant, Neonates, Sulaymaniyah

scholarly journals Investigation of relationship between spiritual intelligence and quality of life in nurses of Birjand teaching hospitals

2020 ◽  
pp. 85-91
Keyword(s):  
Quality Of Life ◽  
Emotional Health ◽  
Cross Sectional Study ◽  
Study Data ◽  
Spiritual Intelligence ◽  
Teaching Hospitals ◽  
Average Score ◽  
Cross Sectional ◽  
General Health Score

Spiritual intelligence is a set of abilities to take advantage of religious resources that can predict a person's quality of life and adjustment. The aim of this study was to investigate the relationship between spiritual intelligence and quality of life in nurses of Birjand teaching hospitals in a descriptive-analytical and cross-sectional study. Data were collected by using the Spiritual Intelligence Questionnaires (SISRI-24) and Quality of Life (SF36) and analyzed using the correlation and t-tests. In this study, 187 subjects were included in the study, of which 42.2% were male and 58.8% were female. The average score of spiritual intelligence of the subjects was 48, which is lower than average. Based on the results of correlation coefficient test, there was a significant relationship between spiritual intelligence and emotional health (r=0.77) and the individual's general health score (r=0.20). Based on the results, the spiritual intelligence score of the subjects was moderate and low. On the other hand, spiritual intelligence predicted some areas of quality of life in nurses, Therefore, the implementation of programs aimed at increasing the spiritual intelligence of individuals can increase the quality of life of nurses.

scholarly journals PREDICTIVE ACCURACY OF CERVICAL LENGTH IN MID TRIMESTER ON TRANSABDOMINAL ULTRASOUND FOR CESAREAN SECTION

2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
A Khalid ◽  
MN Anjum ◽  
U Daraaz ◽  
K Hussain ◽  
MA Omer
Keyword(s):  
Cesarean Section ◽  
Diagnostic Accuracy ◽  
Gold Standard ◽  
Predictive Accuracy ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Cervical Length ◽  
Transabdominal Ultrasound ◽  
Cross Sectional ◽  
Sensitivity Specificity

The Cesarean section (CS) delivery is a most frequent surgical technique worldwide. The CS increasing rate and its related problems have drawn an attention towards CS related morbidity. As recommended by WHO, C-section could be carried out only when required medically. In mid-pregnancy cervical extended length predicts the probability of CS early in the pregnancy. The objective of the study is to find the predictive accuracy of cervical length (CL) on transabdominal ultrasound for cesarean section in mid trimester taking mode of delivery as gold standard. It was a cross sectional study in which 362 females were enrolled. Females were undergoing transabdominal ultrasonography for assessment of cervical length. A 2x2 contingency table was generated to calculate sensitivity, specificity, positive predictive valve (PPV), negative predictive value (NPV) and diagnostic accuracy of transabdominal ultrasound taking actual mode of delivery as gold standard. The mean age of the females was 27.92 + 5.75 years while mean parity and mean CL were 2.22 + 1.30 and 35.83 + 7.96 mm, respectively. Among 30 females who had cervical length <25 mm, 24 had CS and 6 had spontaneous vaginal delivery (SVD). Among 332 females who had cervical length >25 mm, 96 had CS and 236 had SVD. The sensitivity, specificity, PPV, NPV and diagnostic accuracy of transabdominal ultrasound for cesarean section were 20.0%, 97.5%, 80.0%, 71.1% and 71.8%, respectively. Study concluded that cesarean section takes place among pregnant females when cervical length is ≤25mm on transabdominal ultrasound during mid trimester.

Breech Presentation and Maternal and Perinatal Outcome in a Tertiary Care Teaching Hospital of Central Nepal

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Manisha Acarya ◽  
Praveen Kumar ◽  
Rubina Shrestha ◽  
Puja Baniya Chhetri ◽  
Mamta Lamichhane ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Breech Presentation ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Central Nepal ◽  
Labor Ward ◽  
Study Results ◽  
Fetal Complications

Introduction: Breech is the commonest malpresentation. The objective of this study is to find out the prevalence of breech presentation at term. It also aims to present the mode of delivery conducted and to highlight the maternal and fetal complications associated with it. Methods:  This   was   a   descriptive   cross-sectional   study   conducted in Department of Obstetrics and Gynaecology department of College of Medical Sciences done over a period of 2 years. All term pregnant women (≥ 37 weeks) aged 16 years and above, admitted to the maternity and labor ward with the diagnosis of singleton breech presentation during the study period were included in the study. Results: The incidence of breech presentation at term was 5.03%. Out of these, only 7 (18.92%) patients underwent breech vaginal delivery. Mean maternal age was 28.07 (± 11.56) years and  majority were primigravidae. The mean birth weight of newborn was 2.8±0.5 kg. Conclusions: Breech presentation can result in both maternal and fetal complications. Skills related to conducting delivery in  breech presentation must be learned by all those who manage pregnant women.   

scholarly journals Symptoms of Discomfort and Problems Associated with Mode of Delivery During the Puerperium: An Observational Study

2019 ◽  
Vol 16 (22) ◽  
pp. 4564 ◽  
Author(s):  
Martínez-Galiano ◽  
Delgado-Rodríguez ◽  
Rodríguez-Almagro ◽  
Hernández-Martínez
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Ad Hoc ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Instrumental Delivery ◽  
Normal Vaginal Delivery ◽  
Post Traumatic Stress ◽  
Online Questionnaire ◽  
Cross Sectional

Despite abundant literature on antenatal and delivery care received by pregnant women, there is a wide knowledge gap on the prevalence of symptoms of discomfort or problems during the postpartum period and their relationship with the mode of delivery. This cross-sectional study, carried out with 3324 participants in Spain in 2017, aimed to investigate the association between the mode of delivery and self-reported postpartum symptoms of discomfort and maternal problems during the puerperium. An ad hoc online questionnaire was used to collect data on socio-demographic and obstetric variables, symptoms of discomfort, and maternal problems during the puerperium. The crude odds ratios (OR) and adjusted OR (aOR) and their 95% confidence intervals (95%CI) were calculated using binary logistic regression. In total, 3324 women participated. Compared to a normal vaginal delivery, having a cesarean section was associated with increased odds of an infected surgical wound (aOR: 11.62, 95%CI: 6.77–19.95), feeling sad (aOR: 1.31, 23 95%CI: 1.03–1.68), and symptoms of post-traumatic stress (aOR: 4.64, 95%CI: 2.94–7.32). Instrumental delivery vs. normal vaginal delivery was a risk factor for constipation (aOR: 1.35 95%CI: 25 1.10–1.66), hemorrhoids (aOR: 1.28, 95%CI: 1.04–1.57), urinary incontinence (aOR: 1.30, 95%CI: 26 1.05–1.61), and fecal incontinence (aOR: 1.94, 95%CI: 1.29–2.92) during the puerperium. Women who gave delivery via cesarean section or instrumental delivery had higher incidences of infection and psychological alterations than those who had a normal vaginal delivery. Identifying women at risk of giving birth by cesarean section and informing them about subsequent symptoms of discomfort and maternal problems during the puerperium must be included in pregnancy health program policies and protocols to allow women to make informed decisions regarding their birthing plan.

scholarly journals Clinico-epidemiological profile of eclampsia patients admitted in an urban tertiary care hospital of West Bengal: a record based study

2018 ◽  
Vol 5 (6) ◽  
pp. 2416
Author(s):  
Baisakhi Maji ◽  
Sumana Samanta ◽  
Sreetama Banerjee ◽  
Tanjib Hassan Mullick ◽  
Sudhanshu Saharay ◽  
...  
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Public Health Problem ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Study Data ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Cross Sectional

Background: Eclampsia is a multi–system disorder with complex pathogenesis, causing 12% of global maternal deaths. It is a major public health problem specially in developing countries, contributing to maternal and perinatal morbidity as well as mortality. Majority of them are preventable if managed timely, promptly and with expertise. The objectives of the study were to identify the incidence of eclampsia in R G Kar Medical College and Hospital as well to identify the determinants of feto-maternal outcome.Methods: A retrospective, record-based cross-sectional study was conducted in an urban tertiary care teaching hospital. There were 354 pregnant women with eclampsia admitted and delivered during the study period which was 1st January-31st December’2015. Complete enumeration was done to get the sample for the study. Data were retrieved from eclampsia registers and log books of delivery kept in the labour room and hospital record section. After wards it was analysed with the help of SPSS 20.0 version to get different inferential statistics.Results: Incidence of eclampsia in that hospital in 2015 was18.4/1000 deliveries. Almost 72% patients had ante-partum eclampsia and rest had post-partum eclampsia. Emergency caesarean section was the most common (62.14%) mode of delivery. Perinatal mortality was found in 5.6% of the eclampsia patients. Majority (65%) of the babies delivered belonged to low birth weight. Muslim patients and the patients of gestational age more than 36 weeks had unfavourable outcome.Conclusions: There is need to educate and encourage the general public for antenatal care and institutional delivery. Along with this the socio-economic, cultural and educational status are to be uplifted for the improvement of the present scenario regarding eclampsia in our country.

scholarly journals Comparative analysis of cesarean section using the Robson's Ten-Group Classification System (RTCGS) in private and public hospitals, Addis Ababa, Ethiopia

2021 ◽  
Vol 4 (2) ◽  
pp. 081-091
Author(s):  
Assefa Endalkachew Mekonnen ◽  
Janbo Adem ◽  
Ghiwot Yirgu
Keyword(s):  
Cesarean Section ◽  
Public Hospital ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Group Classification ◽  
Classification Systems ◽  
Public Hospitals ◽  
Cross Sectional ◽  
The Public ◽  
Private And Public

Objectives: We analyzed the indications of cesarean section (CS) using Robson Ten-Group. Classification Systems (RTGCS) and comparison between private and public health facilities in Addis Abeba hospitals, Ethiopia, 2017. Methods: Facility-based retrospective cross-sectional study was carried out between January 1 and December 31, 2017, including 2411 mothers who delivered by CS were classified using the RTGCS. Data were entered into SPSS version 20 for cleaning and analyzing. Binary logistic regression and AOR with 95% CI were used to assess the determinants of the CS. Results: The overall CS rate was 41% (34.8% and 66.8% in public & private respectively, p < .0001). The leading contributors for CS rate in the private were Robson groups 5,1,2,3 whereas in the public 5,1,3,2 on descending order. Robson group 1 (nulliparous, cephalic, term, spontaneous labor) and group 3 [Multiparous (excluding previous cesarean section), singleton, cephalic, ≥ 37 weeks’ gestation& spontaneous labor], the CS rate was over two-fold higher in the private than the public sector. Women in Robson groups 1, 2, 5 & 9 are two and more times higher for the absolute contribution of CS in private than public. The top medical indications of CS were non-reassuring fetal status (NRFS, 39.1%) and repeat CS for previous CS scars (39.4%) in public and private respectively. Mothers who delivered by CS in private with history of previous CS scar (AOR 2.9, 95% CI 1.4-6.2), clinical indications of maternal request (AOR 7.7, 95% CI 2.1-27.98) and pregnancy-induced hypertension (AOR 4.2, 95% CI 1.6-10.7), induced labor (AOR 2.5, 95% CI 1.4-4.6) and pre-labored (AOR 2.2, 95% CI 1.6-3.0) were more likely to undergo CS than in public hospital. Conclusion: The prevalence of CS was found to be high, and was significantly higher in private hospitals than in a public hospital. Having CS scar [having previous CS scar, Robson group 5(Previous CS, singleton, cephalic, ≥ 37 weeks’ gestation) and an indication of repeat CS for previous CS scar] is the likely factor that increased the CS rate in private when compared within the public hospital. Recommendation: It is important that efforts to reduce the overall CS rate should focus on reducing the primary CS, encouraging vaginal birth after CS (VBAC). Policies should be directed at the private sector where CS indication seems not to be driven by medical reasons solely.

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